NPIMap

Individual provider Active NPI

Nicole Trublowski, CRNA

  • Certified Registered Nurse Anesthetist
  • Livonia, MI
National Provider Identifier
1023553104
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
790777 Issued in TX
Practice address
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone
(734) 786-2317
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 790777 TX Primary

Addresses

Primary practice location

36475 Five Mile Rd
Livonia, MI 48154-1971

Mailing address

PO Box 650865
Dallas, TX 75265-0865
Phone (972) 715-5000

Other practice location 1

2006 Hogback Rd Ste 5A
Ann Arbor, MI 48105-9750
Phone (734) 263-2417

Other practice location 2

6606 Lbj Fwy
Suite 200
Dallas, TX 75240-6533
Phone (972) 715-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170110001080 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204117047 Reassigns benefits to 5 organizations
I20230410000244 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204117047 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians

Practice addresses (Care Compare)

22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone (248) 423-5198

33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001

5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Seena Anesthesia PLLC CurrentSince Apr 7, 2023 Accepting new patients
St Mary Mercy Hospital Crna Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
St Mary Mercy Hospital Current Accepting new patients
Texas Allied Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2019 Accepting new patients
Ambulatory Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2023 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2016 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2016 Accepting new patients
South Arlington Surgical Providers, LLC CurrentSince Jan 5, 2020 Accepting new patients
Arlington Anesthesia Group, PLLC CurrentSince Mar 5, 2019 Accepting new patients
Promedica Central Corporation of Michigan CurrentSince Dec 4, 2024 Accepting new patients
Huron Gastroenterology Associates PC CurrentSince Oct 20, 2025 Accepting new patients
Trident Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Huron Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Oct 20, 2025 Accepting new patients

Locations (25 of 29)

350 E Devon Ave
Itasca, IL 60143

2006 Hogback Rd
Ste 5A
Ann Arbor, MI 48105
Phone (734) 786-2317

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

36650 5 Mile Rd
Ste 100
Livonia, MI 48154
Phone (734) 432-0314

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500

11012 E 13 Mile Rd
Ste 112A
Warren, MI 48093
Phone (586) 573-6880

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262

400 10th St E
Waconia, MN 55387

350 E Interstate 20
Ste 200
Arlington, TX 76018
Phone (214) 254-4299

800 W Arbrook Blvd
Ste 120
Arlington, TX 76015
Phone (817) 468-4343

701 E Rendon Crowley Rd
Burleson, TX 76028
Phone (817) 293-9292

3920 W Wheatland Rd
Ste 108
Dallas, TX 75237
Phone (214) 948-7779

17950 Preston Rd
Ste 120
Dallas, TX 75252
Phone (214) 915-8979

17110 Dallas Pkwy
Ste 105
Dallas, TX 75248
Phone (972) 483-5714

5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1023553104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650865",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650865",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-786-2317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Hogback Rd Ste 5A",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059750",
            "country_code": "US",
            "telephone_number": "734-263-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6606 Lbj Fwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752406533",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUBLOWSKI",
        "first_name": "NICOLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "790777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.